| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $31,776 | $11,217 | 283% | $10,182 | 5 |
| Basic metabolic panelCPT 80048 | $130 | $8 | 1538% | ~$66 | 13 |
| COPD with MCCMS-DRG 190 | $21,942 | $7,818 | 281% | $9,273 | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,781 | $361 | 1048% | ~$1,703 | 14 |
| CT head without contrastCPT 70450 | $1,665 | $108 | 1540% | ~$750 | 14 |
| CT pelvis with contrastCPT 72193 | $3,162 | $181 | 1742% | ~$1,424 | 14 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,214 | $3,269 | 343% | $5,677 | 5 |
| Cardiac stress testCPT 93017 | $1,154 | $223 | 517% | $520 | 14 |
| Cataract surgery with IOL insertionCPT 66984 | $4,625 | $2,388 | 194% | $2,744 | 14 |
| Cellulitis, no MCCMS-DRG 603 | $17,252 | $6,763 | 255% | $7,207 | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $48,360 | $16,343 | 296% | $39,500 | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,318 | — | — | $9,391 | 5 |
| Cesarean section, with CCMS-DRG 787 | $14,318 | — | — | $10,042 | 5 |
| Chest painMS-DRG 313 | $14,262 | — | — | $8,677 | 5 |
| Colonoscopy with biopsyCPT 45380 | $2,516 | $1,238 | 203% | $1,032 | 14 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,084 | $1,238 | 168% | $843 | 14 |
| Colonoscopy with polyp removalCPT 45385 | $2,892 | $1,238 | 234% | $1,187 | 14 |
| Colonoscopy, diagnosticCPT 45378 | $2,685 | $962 | 279% | $1,102 | 14 |
| Complete blood count with differentialCPT 85025 | $101 | $8 | 1304% | ~$48 | 14 |
| Complete blood count, automatedCPT 85027 | $93 | $6 | 1436% | ~$44 | 14 |
| Comprehensive metabolic panelCPT 80053 | $177 | $11 | 1680% | ~$85 | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $875 | — | — | ~$394 | 14 |
| Diagnostic mammography, one breastCPT 77065 | $516 | — | — | ~$233 | 14 |
| ED visit, level 3CPT 99283 | $1,159 | $282 | 410% | $522 | 14 |
| ED visit, level 4CPT 99284 | $1,935 | $432 | 448% | $872 | 14 |
| ED visit, level 5CPT 99285 | $2,277 | $616 | 370% | $1,026 | 14 |
| Echocardiogram, completeCPT 93306 | $3,506 | $565 | 620% | $1,579 | 14 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,278 | $915 | 140% | $517 | 14 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,443 | $6,128 | 252% | $7,374 | 5 |
| Excision of breast lesionCPT 19120 | $3,068 | $4,051 | 76% | $1,241 | 14 |
| Family psychotherapy, with patientCPT 90847 | $457 | $184 | 249% | $197 | 10 |
| Group psychotherapyCPT 90853 | $234 | $105 | 223% | $101 | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $16,818 | $5,927 | 284% | $8,327 | 5 |
| Heart failure with MCCMS-DRG 291 | $25,431 | $9,238 | 275% | $8,428 | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $41,490 | $13,809 | 300% | $26,138 | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,577 | $10,098 | 243% | $15,938 | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,773 | $3,704 | 237% | $7,683 | 8 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,035 | $6,155 | 261% | $7,764 | 4 |
| Kidney function panelCPT 80069 | $112 | $9 | 1290% | ~$54 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,945 | $3,385 | 146% | $2,648 | 13 |
| Laparoscopic cholecystectomyCPT 47562 | $10,440 | $6,255 | 167% | $4,222 | 14 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,055 | $8,977 | 301% | $19,025 | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $9,611 | $10,998 | 87% | $3,887 | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $9,667 | $3,354 | 288% | $3,967 | 14 |
| Lipid panelCPT 80061 | $172 | $13 | 1286% | ~$82 | 14 |
| Liver function panelCPT 80076 | $110 | $8 | 1348% | ~$56 | 13 |
| Lumbar epidural steroid injectionCPT 62323 | $1,188 | $730 | 163% | $640 | 14 |
| MRI brain with and without contrastCPT 70553 | $4,173 | $361 | 1156% | ~$1,880 | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $1,714 | $247 | 694% | ~$772 | 14 |
| MRI lumbar spine without contrastCPT 72148 | $1,829 | $247 | 741% | ~$824 | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $38,210 | $13,045 | 293% | $28,392 | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $60,085 | $22,346 | 269% | $43,341 | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $47,486 | $16,202 | 293% | $29,858 | 5 |
| Medical back problems, no MCCMS-DRG 552 | $19,042 | $6,142 | 310% | $8,958 | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,053 | $108 | 974% | ~$474 | 14 |
| Office visit, established patient, level 3CPT 99213 | $218 | — | — | $90 | 14 |
| Office visit, established patient, level 4CPT 99214 | $230 | — | — | $96 | 7 |
| Office visit, new patient, level 3CPT 99203 | $225 | — | — | $94 | 7 |
| Office visit, new patient, level 4CPT 99204 | $241 | — | — | $100 | 7 |
| Office visit, new patient, level 5CPT 99205 | $256 | — | — | $107 | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $202 | $18 | 1097% | ~$96 | 14 |
| Partial thromboplastin timeCPT 85730 | $92 | $6 | 1528% | ~$44 | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $111 | — | — | $50 | 14 |
| Prostate biopsyCPT 55700 | $2,168 | — | — | $915 | 10 |
| Prothrombin timeCPT 85610 | $67 | $4 | 1552% | ~$27 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $149 | $184 | 81% | $64 | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $169 | $184 | 92% | $73 | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $256 | $184 | 139% | $110 | 8 |
| Renal failure, with CCMS-DRG 683 | $17,349 | $6,542 | 265% | $7,921 | 4 |
| Screening mammography, bilateralCPT 77067 | $592 | — | — | ~$266 | 14 |
| Sepsis with MCCMS-DRG 871 | $38,479 | $14,744 | 261% | $13,093 | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,096 | — | — | $2,445 | 14 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $15,964 | $6,048 | 264% | $7,550 | 5 |
| Sleep study (polysomnography)CPT 95810 | $4,489 | $888 | 505% | $2,022 | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,557 | $3,679 | 368% | $9,168 | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,013 | $7,042 | 284% | $9,677 | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $153 | $17 | 911% | ~$73 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,716 | $6,125 | 77% | $1,935 | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,282 | $915 | 140% | $519 | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $1,350 | $108 | 1248% | ~$557 | 14 |
| Ultrasound, transvaginalCPT 76830 | $1,039 | $108 | 961% | ~$595 | 14 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,296 | $938 | 245% | $942 | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,434 | $938 | 259% | $999 | 14 |
| Urinalysis, automated, with microscopyCPT 81001 | $55 | $3 | 1730% | ~$26 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $40 | $2 | 1794% | ~$19 | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $30 | $3 | 875% | ~$15 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,796 | — | — | $7,429 | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,796 | — | — | $8,922 | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $892 | $108 | 825% | ~$402 | 14 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,249 | $569 | 220% | $282 | 14 |